About this Role
To handle Casualty GL and Auto Liability claims of intermediate complexity from coverage enquiry through legal liability analysis and quantum assessment, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all key internal and external stakeholders. Provide a high standard of customer service and adherence to legal and regulatory requirements.
Key Relationships: Direct reporting line to Complex Claims Team Manager
Duties and Responsibilities: -
1. Functional Responsibilities:
Managing key claims handling enquiry; coverage determination, legal liability analysis and quantum assessment, where appropriate within authority limits and providing a consistently strong standard of customer service
Ensuring effective vendor and litigation management on Complex claims within a personal allocation
Broadening internal / external stakeholder communication where required
Striving for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes
Contributing to maintenance of best practice procedures for Casualty GL intermediate to high value Complex claims, consistent with global best practice
Demonstrating a high standard of technical claims competence. Demonstrate a strong standard of competence in handling intermediate to advanced complex claims in Casualty GL
2. Accountabilities:
Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense for claims of medium to high complexity
Consistent proactive claims handling on an ongoing basis (i.e. initial file review, investigations and liability, negotiations and settlement, and litigation management)
Effective communication of key medium to high Complexity claims and Casualty GL portfolio messages to internal stakeholders and external stakeholders
Financial control through consistent reserve and other financial transaction discipline
Accurate and consistent policy interpretation against claims of intermediate to high complexity
Job Requirements: -
Demonstrate strong communication skills, both written & verbal
Time management – ability to manage & prioritize workload and diary management
Ability to contribute effectively within a team environment
Ability to work with claims stakeholders to effectively direct claims strategy
Participate in client review and Profit Centre meetings
Good specialist knowledge in Casualty GL and Auto Liability technical claims
Policy language skills enabling accurate and consistent policy wording interpretation
A strong knowledge of legal / regulatory and litigation / procedural requirements for their line of business
Some experience in negotiation, mediation, arbitration and ADR skills. Strong experience in negotiating on intermediate to high complex claims and knowledge and experience in mediation, arbitration and Alternative Dispute Resolution
Experience in effectively following up on recommendations from technical claims audits and continuous claim handling improvement
Full-time